SANGHAMITRA SINHA MD
NPI 1992237945
Pediatrics in Chicago, IL

Active since March 29, 2017PECOS Enrolled
5721 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Mar 29, 2017 (2 updates tracked since 2017).

About Sanghamitra Sinha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGHAMITRA SINHA MD (NPI 1992237945) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036166598) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992237945
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANGHAMITRA SINHACredential: MD
Location Address5721 S MARYLAND AVEChicago, IL 60637-1425
Mailing Address5721 S Maryland AveChicago, IL 60637-1425
Sole ProprietorNo
Enumeration DateMarch 29, 2017
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1992237945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036166598
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 63951
5721 S MARYLAND AVE, Chicago, IL 60637

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2499 · Phone (401) 444-1122
Location 247 New Scotland Ave, Dept. of PediatricsAlbany, NY 12208-3412 · Phone (518) 262-6248

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanghamitra Sinha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sanghamitra Sinha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
Family Medicine
701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 281 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Psychiatric/Mental Health)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Registered Nurse
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Student in an Organized Health Care Education/Training Program
5721 S MARYLAND AVE
CHICAGO, IL 60637
Pediatrics (Pediatric Hematology-Oncology)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Pediatrics)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Pediatrics
5721 S MARYLAND AVE
CHICAGO, IL 60637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanghamitra Sinha's NPI number?

The NPI number for Sanghamitra Sinha is 1992237945. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Sanghamitra Sinha located?

Sanghamitra Sinha practices at 5721 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Sanghamitra Sinha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sanghamitra Sinha enrolled in Medicare?

Yes. Sanghamitra Sinha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanghamitra Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanghamitra Sinha reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Bonaventure Medical Foundation, LLC (Elk Grove Village, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanghamitra Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanghamitra Sinha accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sanghamitra Sinha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanghamitra Sinha was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.